
Exercise & Health History Attitude Questionnaire Name: Date: Address: Email: Primary Phone #: 1) Please rate your exercise level on a scale of 1 to 5 (1 low activity/ 5 high activity) for each.
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How to fill out the Simple Exercise History And Attitude Questionnaire online
The Simple Exercise History And Attitude Questionnaire is designed to gather insights into your exercise habits, experiences, and attitudes. This guide will help you navigate the form effectively, ensuring you provide accurate information that reflects your fitness journey.
Follow the steps to complete your exercise history and attitude questionnaire online.
- Press the ‘Get Form’ button to access the form and open it in your preferred editor.
- Begin by entering your personal information, including your name, date, address, email, and primary phone number. Ensure all information is accurate, as it helps maintain clear communication.
- Rate your exercise level for each age group listed from 15 to 60+. Use the scale of 1 to 5, where 1 represents low activity and 5 represents high activity. Complete each age range thoughtfully based on your activity level during that period.
- Indicate if you were a High School and/or College Athlete by selecting 'Yes' or 'No.' If you answer 'Yes,' provide further details in the space provided.
- Reflect on any negative experiences you may have had with physical activity. Indicate 'Yes' or 'No,' and if applicable, explain these experiences in the provided space.
- Characterize your current athletic ability, cardiovascular capacity, muscular capacity, and flexibility capacity using the 1 to 5 scale. Circle the number that best applies to each category.
- Address whether you have difficulty sticking to an exercise program by selecting 'Yes' or 'No.' Provide an explanation if applicable.
- Specify your commitment to an exercise program by indicating how many minutes per day and days per week you are willing to devote to it.
- If you currently engage in cardio endurance exercise, select 'Yes' or 'No.' If 'Yes,' detail the type of exercise and the duration for both daily and weekly effort.
- Reflect on how long you have been exercising regularly by filling in the number of months and years.
- List other exercise, sport, or recreational activities you have participated in over the past six months and five years.
- If you are currently employed, answer the specific questions regarding your ability to exercise during work hours and how an exercise program might impact your job.
- Indicate the types of exercises or sports that interest you by checking all applicable options listed.
- Rank your fitness goals using the provided scale to express their importance to you. Be specific about what you want to achieve.
- Express your commitment level to your exercise goals in the space provided.
- If weight change is a goal, specify the desired weight change in pounds.
- Decide if you would like to set up a Nutrition Consult with your Trainer by selecting 'Yes' or 'No.'
- Finally, print your name and sign to confirm your commitment to achieving your health and fitness goals.
- Once you have completed the form, save changes, download, print, or share it as needed.
Complete your Simple Exercise History And Attitude Questionnaire online today to take a step towards your fitness goals.
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